Printed form



D. l.. FRANcEscoN PRINTED FORM Oct. 27, 1942.

Filed Feb. 27, 1942 Patented ct. 27, 1942 Daniel L. Francescon, Oak Park,

Columbian Bank Note of Illinois Ill., assignor to Compa a corporation Application February 27, 1942,y Serial No. 432,546 2 claims. (c1. 282-23) s This invention relates to an improved printed form, and more particularly to a form which is provided with an adhesive face but may nevertheless receive subsequent inscriptions before being permanently attached to solid material, such as a `piece of glass or the like.

The primary object of the invention is to provide an improved form which is adapted for use as an automobile license validation certificate. The certificate may be made up in a multiple copy set provided with interleaved carbon and inserted in a typewriter for subsequent inscriptions,

or manually Written.l All of the formsy may be In order to avoid any chance for errors in the underlying copies of the certificate, a serial number, as indicated at. 8, is printed on the set of forms as the last step; This `number may be printed in an adhesive coated area by means of a special penetrating ink which penetrates the adhesive. The printing operation will also cause the identical number to be printed on the underlying sheets by the impression transmitted through the transfer or carbonA sheets.

The present form may be used as a validation certificate to take the place of metal license platesv and may be used in a State in which various numbered by a printing operation after the forms have been brought into registration in a set. The invention is illustrated in a preferred emj` bodiment, `inthe accompanying drawing, in`

i WhiCh Figure l is a plan view of a set of forms embodying the invention with the corner of the top form and adjacent carbon curled upwardly to showl an underlying sheet; and Figure 2, a side elevational view of the same.

In the embodiment illustrated, a top sheet 3 is superposed on stationery sheets 4. Each of` the stationery sheets is provided with a top de-` tachable margin 5. Transfer or carbon sheets B are interleaved between the stationery sheets and are secured together by thebinding strips 5.

i Preferably, the carbon sheets are somewhat shorter in length than the carbon strips so that the stationery sheets may be detached from the carbons by gripping them at theirlower edges `and drawing them sharply away from the binding margin 5.

. The top sheet 3 ispreferably a steel engraving which may be provided with an underlying safety tint to prevent any attempted erasure or alteration. The form has a number of blank areas 1 to receive subsequent inscriptions. Preferably, the sheet is of agoodgrade of thin paper, and

after printing, is treated with a suitable resinous Y `varnish to make it Water repellent. In order that this top sheet may form acertiiicatewhich may be secured to the windshield of a carrthe face of the sheet, except overthe inscription receiving `areas, is Ycoated with aisuita-ble spirit adhesive which may be' applied by the silk screen method.

The inscription receiving areas are kept clear of adhesive because any Writing or typewriting done on the adhesive would not be permanent after the adhesive is moistened for application to awindshield.

counties issue such certificates. The form may be inserted into a typewriter and the usual infor# mation concerning the applicant may be typed in. Also, if desired, the licensee may sign the form in a suitable space, as indicated at 9. The certificate may also be counters/igned, vas indicated at IU, by the agent for the tax commission. Upon payment of the required fee, the applicant is given the topsheet to be moistened and applied to the windshield of his-car, and the underlying copies, after being detached from the binding strip, may be led by the taxing authorities numercially or alphabetically.

The foregoing detailed description has been given for clearness of understanding only, and no unnecessary limitations should be underlstood therefrom for s'ome modifications will be obvious to those skilled in the art.

I claim: l

1. A printed formk comprising: a paper sheet printed to provide blank areas to receive subsequent inscriptions, a varnish coating on said sheet to render it Water repellent, and an ad` hesive coating covering the facerof said sheet except said inscription receiving areas. v

2. A multiple copy set comprising: a plurality `of stationery sheets andr interleaved transfer sheets bound together at one marginal portion, said top sheet being printed to provideblank areas to receive subsequent inscriptions and having an adhesive coating over all of the face of said top, sheet except over said blank areas, andv o sheets o n the underlying sheets.

` -DANTELL FRANcEsCoN. 

